West salem police department statement form case # voluntary arrested mirandized - westsalempolice 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the case number in the designated field labeled 'CASE #____'. This is crucial for tracking your statement.
3. Indicate whether the arrest was voluntary by checking the box next to 'VOLUNTARY____'.
4. Fill in the 'ARRESTED __' section with relevant details about the arrest.
5. Complete the 'MIRANDIZED ___' field, noting if Miranda rights were read.
6. Provide your full name, including first, middle, and last names, along with your date of birth in the respective fields.
7. Enter your address and phone number accurately to ensure proper communication.
8. List your workplace and its contact number for verification purposes.
9. Review all entered information for accuracy before signing. Confirm that you have read the statement and that all facts are true.
10. Finally, sign and date where indicated at the bottom of the form. Ensure that both you and the officer taking your statement sign as required.

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